舒芬太尼复合丙泊酚全凭静脉麻醉在胸科手术中的应用效果观察

Effect observation of doses of sufentanil and propofol for total intravenous anesthesia in thoracic surgery

目的观察舒芬太尼复合丙泊酚全凭静脉麻醉在胸科手术中的临床效果。方法选择胸科择期手术患者60例,ASAⅠ-Ⅱ级。麻醉诱导先后静脉输注丙泊酚1.5-2.5 mg/kg,维库溴铵0.1-0.2 mg/kg,舒芬太尼1.5-2μg/kg,行气管插管后辅助机械通气,给予舒芬太尼5-10μg/（kg.h）,丙泊酚3-6 mg/（kg.h）进行麻醉维持,均以微量注射泵进行输注。记录术中各时段血流动力学指标、苏醒情况及术中知晓发生情况。结果患者术中无知晓,血流动力学指标平稳,不良反应少。结论舒芬太尼复合丙泊酚用于胸科手术中全凭静脉麻醉,术中麻醉易于控制,血流动力学指标稳定,意识回复质量高,术后满意度好,不良反应少,后遗效应小,具有较高的临床应用价值。

Objective To observe the clinical effect of doses of sufentanil and propofol for total intravenous anesthesia in thoracic surgery.Methods60 patients who underwent elective operation were selected,ASA Ⅰ-Ⅱ.Propofol 1.5-2.5 mg/kg,Vecuronium 0.1-0.2 mg/kg and sufentanil 1.5-2 μg/kg were injected intravenously at the time of anesthesia induction.After tracheal intubation assisted ventilation.The maintenance of anesthesia adopts continuous pumping of 5-10 μg/（kg·h） of sufentanil and 5-10 μg/（kg·h） of propofol.Hemodynamic index,analepsia condition and awareness during the surgery were recorded.ResultsThere were no patients with known,stable hemodynamics,adverse reactions.ConclusionDoses of sufentanil and propofol for total intravenous anesthesia in thoracic surgery,anesthesia is easy to control,stable hemodynamics,consciousness recovery of high quality,satisfaction after a good,less adverse reactions,and leave behind a small effect,with high clinical value.